McKie L
Department of Management and Social Sciences, Queen Margaret College, Edinburgh, Scotland.
J Adv Nurs. 1993 Jun;18(6):972-9. doi: 10.1046/j.1365-2648.1993.18060972.x.
This is the first of two papers reporting the findings of a study on the views of women with regards to the cervical smear test. In this first paper the views of those who have not had a smear test are analysed. The implications of those views for nursing practice in primary health care are identified and explored. Conducted in 1989-1990, the ESRC-funded study was located in the north-east of England and drew respondents from two age groups living in working-class localities. Focusing upon the views of women who have not had a smear test, a number of conclusions were evident: (a) that the call, recall system did not invite all women in the screening target group for a smear test; (b) that beliefs and attitudes, rather than practical problems, were cited as major factors in non-attendance; and (c) that women hold strong views on aspects of service delivery they would like to see in place. Thus the organization and delivery of the service might be reviewed. However, the barriers posed by beliefs and attitudes must be further explored through community-based work encompassing all community-based health professionals.
这是两篇系列论文中的第一篇，报告了一项关于女性对宫颈涂片检查看法的研究结果。在这第一篇论文中，分析了那些未进行涂片检查的女性的看法。确定并探讨了这些看法对初级卫生保健护理实践的影响。这项由经济和社会研究委员会资助的研究于1989年至1990年进行，地点在英格兰东北部，受访者来自生活在工人阶级社区的两个年龄组。聚焦于未进行涂片检查的女性的看法，一些结论显而易见：（a）电话召回系统并未邀请筛查目标群体中的所有女性进行涂片检查；（b）被提及未就诊的主要因素是信念和态度，而非实际问题；（c）女性对她们希望看到的服务提供方面有着强烈的看法。因此，可能需要对服务的组织和提供进行审查。然而，必须通过涵盖所有社区卫生专业人员的社区工作，进一步探究信念和态度所构成的障碍。
